Spinelli Claudio, Strambi Silvia, Pucci Valentina, Liserre Josephine, Spinelli Giacomo, Palombo Carlo
Department of Pathology Surgical, Clinical, Molecular and of Critical Area, Chair of Pediatric Surgery, University of Pisa, Pisa, Italy.
Department of Pathology Surgical, Clinical, Molecular and of Critical Area, Intensive Care Unit IV, University of Pisa, Pisa, Italy.
European J Pediatr Surg Rep. 2014 Jun;2(1):58-62. doi: 10.1055/s-0034-1370771. Epub 2014 Mar 12.
Spigelian hernia (SH) is a surgical rarity in children, which occurs through slit-like defects in the anterior abdominal wall adjacent to the semilunar line, the convexity lateral line which joins the nine ribs to the pubic tubercle and signs the limit between the muscular and aponeurotic portion of transversus abdominis muscle. As there are no specific symptoms and signs, the diagnosis is difficult, especially in children. We report a case of SH that comes to our observation: a 14-year-old girl presented recurrent abdominal pain associated to intermittent palpable mass in the paraumbilical region. Starting from our case report, we review the literature of pediatric SH from 2000 to 2013 and we describe the anatomy, etiology, clinical presentation, instrumental diagnosis, and surgical technique of pediatric SH.
半月线疝（SH）在儿童中是一种罕见的外科疾病，它通过腹壁前部靠近半月线的裂隙样缺损形成，半月线是连接第九肋骨至耻骨结节的凸侧线，标志着腹横肌肌肉和腱膜部分的界限。由于没有特异性的症状和体征，诊断困难，尤其是在儿童中。我们报告一例观察到的半月线疝病例：一名14岁女孩反复出现腹痛，伴有脐旁区域间歇性可触及肿块。从我们的病例报告出发，我们回顾了2000年至2013年儿童半月线疝的文献，并描述了儿童半月线疝的解剖结构、病因、临床表现、影像学诊断和手术技术。
